AP/OD Online Program Acquisition Institute November 29 - December 10, 2021 Registration Form

Training will be conducted in English  

MATERIALS NEEDED: You will need a computer/laptop with a working microphone and camera (for the Zoom sessions) and also access to reliable Wi-Fi. Next week, our team will email you an update regarding the shipment of your 3rd Edition AP/OD curriculum kit and other training materials. You will not need these materials for the first week of the institute.

TRAINING FORMAT: The online institute consist of 6 required live sessions via Zoom with our Master trainer and individual online learning assignments that you will complete prior to each Zoom session. You will have 2 weeks to complete your certification. In total you can expect to spend 17 hrs completing your certification, this includes the Zoom sessions. Your progress is monitored throughout the 2 weeks to ensure you are on track to meet the 17 hours required for completion.

ZOOM SESSIONS:  We ask that you please arrive on time for each Zoom session. Each Zoom session is very interactive and does require active participation from the whole group.

REQUIRED LIVE ZOOM MEETING DATES:

1. Tuesday, November 30, 2021 | Time: 9:30am - 11:05am Pacific Time (PT)
2. Thursday, December 2, 2021 | Time: 9:30am - 11:30am PT
3. Monday, December 6, 2021 | Time: 9:30am - 11:35am PT
4. Tuesday, December 7, 2021 | Time: 9:30am -11:35am PT
5. Thursday, December 9, 2021 | Time: 9:30am - 10:55am PT
6. Friday, December 10, 2021 | Time: 9:30am - 11:15am PT

* Please note that in order to receive your facilitator certification it is required that you complete all self-learning assignments and participate in all of the live Zoom sessions.

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Email *
First Name (As you want it to appear on the certificate) *
Last Name  (As you want it to appear on the certificate) *
Best phone number to contact you *
Organization/Agency *
Work address street number *
City *
State *
Zip Code *
Would you like your training materials to be delivered to your work address? (training materials will be delivered via UPS) *
Shipping Address *Please include full address including city, state and zip code (NO PO Box's accepted)
Are you an existing 2nd Edition Facilitator? *
As part of the 3rd Edition certification, you will receive Administrative Access to the AP/OD Pre & Post Online Survey Portal. Would you like to add another Administrator (Coordinator, Director, Evaluator) to have access to the Online Survey Portal for your organization? *
If you answered YES to the question above please provide name, title, and email of the additional Administrator you would like us to give access to.
Size of T-shirt *
Technological Needs
The online format presents special technological needs. Please answer the following:
I understand that participation in the institute requires access to reliable wifi, laptop or computer with a web camera and microphone (for Zoom sessions) for a 2 week period? *
Do you have access to reliable wifi/internet service? *
Are you familiar with Zoom?                      https://zoom.us/ *
I understand that in order to receive my certification to implement the Abriendo Puertas/Opening Doors program, it is required that: 1) I complete all self-learning assignments and participate in all of the live Zoom meetings. 2) I agree that if I have any unforeseen circumstances that prevent me from participating in a Zoom meeting I will notify the AP/OD team at least 24 hours in advance or that if I am unable to complete the 17 hours of the training I will notify the AP/OD team and I will have 30 days to sign-up for another online institute (if available) to receive certification.  3) I understand that this is an interactive training and that my full participation, willingness to work in groups/teams, and present with my assigned group is required. *
Required
Thank you!
If you have any questions regarding the institute please contact Daisy Castaneda | dcastaneda@ap-od.org
A copy of your responses will be emailed to the address you provided.
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